Provider Demographics
NPI:1841677176
Name:OAK COTTAGE OPERATOR, LLC
Entity type:Organization
Organization Name:OAK COTTAGE OPERATOR, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JOE
Authorized Official - Middle Name:
Authorized Official - Last Name:FRANKEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:805-456-7272
Mailing Address - Street 1:1820 DE LA VINA ST
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93101-2815
Mailing Address - Country:US
Mailing Address - Phone:805-456-7272
Mailing Address - Fax:
Practice Address - Street 1:1820 DE LA VINA ST
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93101-2815
Practice Address - Country:US
Practice Address - Phone:805-456-7272
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-06
Last Update Date:2015-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA425801969310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility